| R G Dental Office P.c. | |
|
330 E 204th St Bronx NY 10467-4706 | |
| (718) 652-0290 | |
| Not Available |
| Full Name | R G Dental Office P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 E 204th St, Bronx, New York |
| Authorized Official Name and Position | Shahnaaz Gill (OWNER) |
| Authorized Official Contact | 7186520290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R G Dental Office P.c. 330 E 204th St Bronx NY 10467-4706 Ph: () - | R G Dental Office P.c. 330 E 204th St Bronx NY 10467-4706 Ph: (718) 652-0290 |
| NPI Number | 1699946467 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699946467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049469-1 (New York) | Primary |
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